| NPI | 1295771657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KILBORN PIC 402-551-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2761) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-10-18 |